Individual
LISA STAMBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2845 EASTERN BLVD, YORK, PA 17402-2909
(717) 840-6444
Mailing address
2845 EASTERN BLVD, YORK, PA 17402-2909
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002130
PA
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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